Key result
Anticoagulant use in post-acute hip fracture patients did not significantly affect functional rehabilitation outcomes, despite longer latency from fracture to surgery (U=-4.37, P<0.001).
Why the study?
The relationship between anticoagulant use and rehabilitation outcomes in post-acute hip fracture patients needed to be assessed.
Does oral anticoagulation drug use reduce or improve functional rehabilitation outcomes in post-acute hip fracture patients?
Cohort (n=299)
Does oral anticoagulation drug use reduce or improve functional rehabilitation outcomes in post-acute hip fracture patients?
Oral anticoagulation use does not negatively impact functional rehabilitation outcomes in post-acute hip fracture patients, supporting the continuation of chronic anticoagulation therapy post-surgery.
Purpose To assess the relationship between anticoagulant use and rehabilitation outcomes in post-acute hip fracture patients.Methods A retrospective study (1/2017 to 5/2019) of 299 hip fractured patients.Outcome measures Functional Independence Measure (FIM) and the motor FIM’s effectiveness.Results Patients treated with anticoagulation drugs exhibited a significant longer latency time from fracture to surgery (U = –4.37, p < 0.001) and from surgery to rehabilitation (U=–2.27, p = 0.023), and a significantly higher rate of cardiovascular diseases (χ2=0.15, p= 0.023) compared with untreated patients. No significant differences between the two patient groups were found regarding the rate of blood transfusions, perioperative complications (infections, reoperation), or functional outcome measures.Conclusions Oral anticoagulants are not associated with rehabilitation outcomes of hip fracture patients.Implications rehabilitationAnticoagulation drug use is not associated with functional outcome of post-acute hip fracture patients.It is recommended to renew oral anticoagulants for patients on chronic treatment after surgery since no negative outcomes were found during rehabilitation under anticoagulant treatment and in light of the importance of these drugs in preventing thromboembolic complications.
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Korotkov et al. (2022) conducted a cohort in Post-acute hip fracture (n=299). Anticoagulation drugs vs. Untreated patients was evaluated on Functional Independence Measure (FIM) and the motor FIM's effectiveness. Anticoagulant use in post-acute hip fracture patients did not significantly affect functional rehabilitation outcomes, despite longer latency from fracture to surgery (U=-4.37, P<0.001).
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